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1952933780
LA VANG
FRESNO, CA
NPI
1952933780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95197153)
Enumeration Date
2020-02-10
Last Update Date
2020-02-18
Business Address
LA VANG
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
LA VANG
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
Copy
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